Provider Demographics
NPI:1568971752
Name:CARING HANDS PPECC OF TEXAS, LLC.
Entity Type:Organization
Organization Name:CARING HANDS PPECC OF TEXAS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE ADMNISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-381-0166
Mailing Address - Street 1:PO BOX 2403
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71207-2403
Mailing Address - Country:US
Mailing Address - Phone:318-323-1930
Mailing Address - Fax:318-323-1013
Practice Address - Street 1:3001 SPUR 124
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75707-3251
Practice Address - Country:US
Practice Address - Phone:318-381-0166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-20
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care